NPI | 1205971017 |
---|---|
Entity Type | Organization |
Authorized Contact | ARTHUR MODE Owner 703-237-1670 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101031340) |
Enumeration Date | 2007-02-20 |
Last Update Date | 2020-08-22 |